Surgical treatment of posterior tibail plateau fractures
FU Shi-ping
SUN Ping
Abstract：Objective To explore the effective approach to expose the posterior tibial plateau fractures and the technique to fix the fractures.Methods From January 2009 to January 2011,38 cases of posterior tibial plateau fractures underwent surgical treatment in our hospital.All the fractures were exposed by posteromedial approach via the interval between pes ancerenus and medial gastrocnemius.The fractures were fixed with "L" or "T" plates.Results All the patients were followed up 13-21 months [average (15.0 ±0.6) months].The surgical time were 52-110 minutes [average (87 ± 8) minutes].The time for fracture union were 9-13 weeks [average (11.4 ±0.4) weeks].92.1％ (35/38) of the patients recovered with a knee range of motion more than 120 degrees within 12 weeks postoperative.At one year posterative,according to the HSS scoring system,the rate of excellent and good was 94.7％ (36/38).There was no infection,no nonunion and no loosening or breakage of the plates.Conclusion The posterior tibial plateau fractures can be well exposed and fixed by the posteromedial approach via the interval between pes ancerenus and medial gastrocnemius.
Keywords：Tibial plateauFractureSurgery
Publication Date：2013-12-30
Online Publishing Date：2026-09-14(First online date of this platform, not the publication date of the document)
Pages：3( 1740-1742 )